Provider Demographics
NPI:1265579296
Name:NGUYEN, TINH AN (MD)
Entity type:Individual
Prefix:DR
First Name:TINH
Middle Name:AN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TINH
Other - Middle Name:AN
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2951 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5937
Mailing Address - Country:US
Mailing Address - Phone:713-977-2970
Mailing Address - Fax:713-977-3479
Practice Address - Street 1:2951 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5937
Practice Address - Country:US
Practice Address - Phone:713-977-2970
Practice Address - Fax:713-977-3479
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8698207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8716N0Medicare PIN